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General NPI Number Information
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NPI Number | 1497354377
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Entity Type | Individual
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Provider Name | JAMES MORRIS PT, DPT, CSCS
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Gender | Male
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Dates
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Enumeration Date | 10/21/2020
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 4500 RED ARROW HWY
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City | STEVENSVILLE
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State | MI
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Zip | 49127-8329
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Country | US
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Telephone | 269-999-4508
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Fax |
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Provider Business Mailing Address
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Address Line | 314 LAKE CT
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City | SAINT JOSEPH
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State | MI
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Zip | 49085-1632
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Country | US
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Telephone | 269-999-4508
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501301748
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License Number State | MI
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